Mariana Diaz
Orlando,FL
Summary
Dedicated medical support specialist working productively in busy clinical settings. Knowledgeable in scheduling, electronic health records and front desk management. Committed to whole-person care in every interaction.
Overview
10
10
years of professional experience
Work History
Intake Coordinator
AdventHealth
08.2021 - Current
- Schedules patient appointments in respective to modality availability and followed up with reminder phone calls.
- Carries out day-to-day duties accurately and efficiently ensuring to deliver whole person care to every patient.
- Verifies physician order for procedure, diagnosis and exam specifics matches the exam we will be performing.
- Processes medical records requests from outside providers according to facility, state and federal law.
- Coordinates and schedules appointments for breast biopsies.
- Procedural scheduling for interventional radiology
Billing & Collection Specialist/ Insurance Verification Representative
AllianceRx Walgreens Prime
06.2019 - 12.2019
- Worked specifically with Hemophiliac patients only.
- Verified claims processing for both medical and pharmacy benefits.
- Exhausted all collection efforts to satisfy outstanding balance.
- Assisted on a variety of medical plans for correct processing.
- In depth research for collection purposes.
- Maintained confidentiality on all patient record data.
Claims Benefit Specialist
Aetna Specialty Pharmacy
10.2018 - 04.2019
- Navigated a variation of platforms to provide the most accurate answers to the inbound callers regarding pharmacy claims.
- Proof read entire claim submission to determine, review coverage benefits and discrepancies.
- Assisted in de-escalating calls as received by providing the best in class service.
- Stayed current with department policies and procedures.
- Handled reimbursement specific incoming/outbound calls related to member pay, Pharmacy Claims, Medical Claims, Medicare, Medicaid and Co Pay Assistance.
Customer Service Representative
Sunshine State Health Plan
02.2018 - 10.2018
- Medicaid/Medicare Customer Service Representative
- Verifying member eligibility.
- Assisted members with benefit information.
- Assisted with preventative health care.
- Verifying prior authorizations.
- Performed in-depth research to answer more complex question.
Contracts Project Coordinator/Collector II
Orange Lake Capitol Management
01.2016 - 02.2017
- Researched, analyzed and evaluated documents to complete the title process.
- Reviewed and analyzed deeds, mortgages, easements, judgements, taxes, and other applicable resources.
- Resolved any issues such as missing, incomplete, inaccurate or contradictory information contained in the title documentation.
- Reviewed data and submit accurate reports.
- Performed other duties as required.
Commercial Call Center Representative
Connecticare LLC.
05.2014 - 11.2015
- Received inbound calls from patients with questions related to medical benefits, while maintaining productivity standards and performance where applicable.
- Worked closely with all internal departments to address patient billing questions.
- Documented customer request and inquiries in call history database and ensure timely closure of all open issues.
Education
Associate of Science - Nursing
Keiser University
Orlando, FL, United States08.2025
Basic Life Support - Basic Life Support- CPR
American Red Cross
Orlando, FL10.2023
NHA Certified - Clinical Medical Assistant
Med Certs
Orlando, FL08.2023
GED - High school diploma
Bristol adult education
Bristol, Connecticut2009
Skills
- Customer Service Expert
- Detailed oriented
- HIPAA
- Medical Billing and Insurance Claims
- Medical office administration
- Medical Records Management
- Insurance Verification
- Outpatient care
- Patient Scheduling
- Operational Requirements
- Radiology Diagnostics
- Patient Safety
Timeline
Intake Coordinator
AdventHealth
08.2021 - Current
Billing & Collection Specialist/ Insurance Verification Representative
AllianceRx Walgreens Prime
06.2019 - 12.2019
Claims Benefit Specialist
Aetna Specialty Pharmacy
10.2018 - 04.2019
Customer Service Representative
Sunshine State Health Plan
02.2018 - 10.2018
Contracts Project Coordinator/Collector II
Orange Lake Capitol Management
01.2016 - 02.2017
Commercial Call Center Representative
Connecticare LLC.
05.2014 - 11.2015
Associate of Science - Nursing
Keiser University
Basic Life Support - Basic Life Support- CPR
American Red Cross
NHA Certified - Clinical Medical Assistant
Med Certs
GED - High school diploma
Bristol adult education